
Collection of the information in this Direct Deposit Sign-Up Form is authorized by 5 U.S.C. § 552a, 31 U.S.C. § 3332(g), and Executive Order 9397 (November 22, 1943). Your social security number and the other information requested will allow the Federal Government to …
Standard Form 1199A (EG) OMB No. 1510-0007 (Rev. August 2012) Prescribed by Treasury Department. DIRECT DEPOSIT SIGN-UP FORM . Treasury Dept. Cir. 1076 . DIRECTIONS To sign up for Direct Deposit, the payee is to read the back of this form . The claim number and type of payment are printed on Government
INSTRUCTIONS for 1199A Form . Section 1 (To be completed by Payee) A. Type or print your name, address and telephone number. B. Type or print your name. C. Type or print your 9-digit social security number. D. Check the type of account you want your funds deposited into. E. Type or print the account number you want your funds deposited into
1199A at the newly selected financial institution. It is recommended that the payee maintain accounts at both financial institutions until the transition is complete, i.e., after the new financial institution receives the payee's Direct Deposit payment. FALSE STATEMENTS OR FRAUDULENT CLAIMS
Form SF-1199A Direct Deposit Sign Up Form - OMB 1510-0007
To effect this change, the payee will complete a new SF 1199A at the newly selected financial institution. It is recommended that the payee maintain accounts at both financial institutions until the transition is complete, i.e. after the new financial institution receives the …
If your organization has a change in banking information, address change, etc., you must complete a new Direct Deposit Sign-Up Form (SF 1199A). The form can be found at the following: . The reason for the new SF 1199A Form (such as bank change or address change). 2.
Standard From 1199A (EG) (Rev. June 187) Prescribed by Treasury Department Treasury Dept. Cir. 1076. To sign up for Direct Deposit, the payee is to read the back of this form and fill in the information requested in Sections 1 and 2. Then take or mail this form to the financial institution. The financial institution will
The enrollments for Social Security, Supplemental Security, VA Compensation, Railroad Retirement, or Civil Service Retirement can all be submitted electronically through the RFMS system. If you have any questions on how to do this, please call 1-800-632-7367 or email [email protected] for assistance.
Standard Form 1199A (Rev. April 2021) Prescribed by Treasury Department Treasury Dept. Cir. 1076 DIRECT DEPOSIT SIGN-UP FORM SECTION 1 (TO BE COMPLETED BY PAYEE) A B C D E F G NAME OF PAYEE (last, first, middle initial) NAME OF PERSON(S) ENTITLED TO PAYMENT CLAIM OR PAYROLL ID NUMBER SIGNATURE SIGNATURE GOVERNMENT AGENCY NAME
Direct Deposit Sign-Up Form - GSA
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